Whether mild cerebral atrophy in the 60s is normal or not should depend on the patient’s specific situation, which may belong to the normal physiological phenomenon, or it may be a pathological phenomenon caused by pathological factors. 1. Physiological factors With age, the cerebellum and brain may have mild brain atrophy, which is a benign degenerative lesion. This kind of mild cerebral atrophy due to age factor is generally called physiologic cerebral atrophy, which is a normal phenomenon. If there are no clinical symptoms, no special treatment is needed. 2. Pathological factors Pathological cerebral atrophy is usually caused by some diseases, such as progressive supranuclear palsy, multi-system atrophy or long-term alcoholism, which are pathological conditions. Patients with pathological cerebral atrophy may have symptoms of neurological deficits such as unsteady walking, dizziness, dysarthria, etc. The condition may worsen slowly over time, resulting in neurological deficits. If patients are diagnosed with mild cerebral atrophy and physiological factors are excluded, further relevant examinations should be done to clarify the cause of the disease and treat the symptoms.